Laparoscopic Tubal Ligation in Women with Previous Pelvic or Abdominal Surgery.
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Date
2016-01
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Abstract
Objectives: Laparoscopic tubal ligation (LTL) is a surgical procedure done on women
as a permanent method of contraception and the most prevalent form of contraception
worldwide.
Study design: We have prospectively collected and evaluated data for 50 women with
previous pelvic or abdominal surgery who underwent LTL in the family planning clinic
at our tertiary care referral hospital from October 2007 to July 2009.
Results: The mean age of patients was 29 years and mean parity 3.2. The most
common previous pelvic or abdominal surgeries were caesarean sections followed
by open appendicectomy. Omental adhesions up to abdominal wall and in the pelvis
were seen in 10 (20%) patients; adhesions to the bladder were observed in 4 (8%) and
perihepatic adhesions in 3 (6%) patients; flimsy peritubal and periovarian adhesions
were detected in 16 (32%) patients.
Conclusion: In women with previous pelvic or abdominal surgery, keeping in mind
the risk of postsurgical adhesions, LTL can be performed safely with low morbidity.
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Keywords
Laparoscopic tubal ligation, Previous surgery, Postsurgical adhesions
Citation
Gupta Nupur, Sharma Jai Bhagwan. Laparoscopic Tubal Ligation in Women with Previous Pelvic or Abdominal Surgery. Acta Medica International. 2016 Jan-June; 3(1): 75-77.